| NPI | 1427132778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M5655) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01051145A) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-06-03 |