| NPI | 1114660404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01098931A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01098931A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-04-02 |