| NPI | 1790848190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01040034A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 27132) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-02-03 |