| NPI | 1558599936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD 41872) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01069781A) |
| 208000000X Pediatrics (Licence: IA MD-41872) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-02-02 |