| NPI | 1427092741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A73388) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01082476A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-08-28 |