| NPI | 1306236013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 66800-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080780A) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2019-08-27 |