| NPI | 1417971300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 34144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084525A) |
| 207P00000X Emergency Medicine (Licence: IN 01084550A) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-07-27 |