| NPI | 1386961258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2014-0306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072402A) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2017-03-22 |