| NPI | 1700858834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A97889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01050660A) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-12-08 |