| NPI | 1881853216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01066326) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 42919) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-07-19 |