| NPI | 1093244386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01085698A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03931) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-08-19 |