| NPI | 1467485607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02003898A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 10648) |
| 207P00000X Emergency Medicine (Licence: KY 02993) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-09-26 |