| NPI | 1407127327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 22205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2279) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2016-11-22 |