| NPI | 1881869451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 638) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066735B) |
| 207P00000X Emergency Medicine (Licence: NC 2008-00735) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2020-02-11 |