| NPI | 1063101004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01098158A) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2026-01-06 |