| NPI | 1821042201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0056965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080691A) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-03-22 |