| NPI | 1740502509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01070957A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094834) |
| 207P00000X Emergency Medicine (Licence: IL 036151901) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2021-10-25 |