| NPI | 1720280035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 51632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11013453A) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2009-08-18 |