| NPI | 1720257488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301098740) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01065637) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2021-11-29 |