| NPI | 1023307022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 54217) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072355A) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 54217) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2025-01-30 |