| NPI | 1760407001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01051797A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301076791) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-06-04 |