| NPI | 1306009253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01066973A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R1462) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2009-07-28 |