| NPI | 1972667665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02002731A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 1039) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-04-23 |