| NPI | 1750544219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46289) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01068034A) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2020-11-12 |