| NPI | 1518948827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101245598) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01054324A) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2009-06-08 |