| NPI | 1295960078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS013951) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004780A) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-08-01 |