| NPI | 1720005325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01033441A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301042616) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-01-23 |