| NPI | 1437468592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-15823) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101242503) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |