| NPI | 1366460602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 02473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02001495A) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-05-23 |