| NPI | 1821383944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101261779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01076107a) |
| 207P00000X Emergency Medicine (Licence: KY 47305) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-03-12 |