| NPI | 1376740092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005379A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH BS361734183422) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-01-25 |