| NPI | 1528296225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01068061A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT190231) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-04-03 |