| NPI | 1902982796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01067150A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 23797) |
| 207P00000X Emergency Medicine (Licence: GA 48786) | |
| 207P00000X Emergency Medicine (Licence: ND 7739) | |
| 207P00000X Emergency Medicine (Licence: CA A070415) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-06-05 |