| NPI | 1639276413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101239879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01061515A) |
| 207P00000X Emergency Medicine (Licence: IL 125045839) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-04-24 |