| NPI | 1366616856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 26923) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 063774) |
| 207P00000X Emergency Medicine (Licence: IN 01079266A) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-11-17 |