| NPI | 1477531549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01047791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 36747) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-08-30 |