| NPI | 1346567476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M1982) |
| 207P00000X Emergency Medicine (Licence: IN 01072755A) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2016-07-10 |