| NPI | 1669854659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301114012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01079524A) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-09-04 |