| NPI | 1417243270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 258161) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072493A) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-03-21 |