| NPI | 1285895334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01067848A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 48816) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2023-03-10 |