| NPI | 1689012932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01083350A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME126466) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-10-14 |