| NPI | 1669419693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 12137) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01054498A) |
| 207P00000X Emergency Medicine (Licence: ID M9214) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-01-27 |