| NPI | 1336189018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 2002000A) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AL 918DO) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |