| NPI | 1730124330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01042389A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 38559) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-07-30 |