| NPI | 1417150632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 62043) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01061873A) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-09-22 |