| NPI | 1497837868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 40583) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084337A) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-06-02 |