| NPI | 1730200908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 72898) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01059726A) | 
| 207P00000X Emergency Medicine (Licence: IN 01059726) | |
| Enumeration Date | 2007-04-03 | 
| Last Update Date | 2018-08-15 |