| NPI | 1316935745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01053876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01053876A) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-07-16 |