| NPI | 1609901727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008012452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062390A) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-03-19 |