| NPI | 1477732071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01065065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD432579) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2016-04-05 |