| NPI | 1710278635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074017A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 173804) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-03-10 |