| NPI | 1508035197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A112806) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11013996A) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2019-02-20 |