| NPI | 1083930234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01076691A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01076691A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-08-10 |