| NPI | 1639223605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02003439) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101009164) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-12-16 |