| NPI | 1689806432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01069779A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 097150) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2021-03-29 |