| NPI | 1023307022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD54217) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01072355A) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-03-29 |