| NPI | 1730281650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2007-00783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01057781A) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-03-07 |