| NPI | 1679758684 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01073120A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A97465) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2016-04-11 |