| NPI | 1922219278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017019) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004706A) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-03-14 |