| NPI | 1619991601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01081425A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD004360E) |
| 207P00000X Emergency Medicine (Licence: CO DR.0044953) | |
| 207P00000X Emergency Medicine (Licence: NE 33117) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-06-18 |