| NPI | 1912358698 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01082390A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110183) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2019-08-21 |