| NPI | 1366488959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-39174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01050585A) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2019-07-23 |