| NPI | 1811079718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01062988A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301083448) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-04-05 |