| NPI | 1609858794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 11266) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080608A) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-08-31 |