| NPI | 1568404515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01035157A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 24580) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-07-13 |