| NPI | 1982812582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02004285A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02004285) |
| 207P00000X Emergency Medicine (Licence: PA oto10875) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-11-22 |