| NPI | 1407296247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074262A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 5212635-1205) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2016-12-02 |