| NPI | 1750494381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074353A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-31890) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-08-21 |