| NPI | 1073533618 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01061564A) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01057913) | 
| Enumeration Date | 2006-07-19 | 
| Last Update Date | 2019-04-23 |