| NPI | 1689719494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD - 16402) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D69032) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-04-16 |