| NPI | 1316130859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01067831A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090702) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2021-03-04 |