| NPI | 1740627371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R7553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01078028A) |
| 207P00000X Emergency Medicine (Licence: IL 036.142934) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-04-23 |