| NPI | 1790731628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 072760) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01036697) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-02-16 |