| NPI | 1477842441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 61929-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01071386A) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2022-02-23 |