| NPI | 1528385945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 47293) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01070463A) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2021-12-18 |