| NPI | 1376706440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 60594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066998) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-07-12 |