| NPI | 1134381296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01065787A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 45779) |
| 207P00000X Emergency Medicine (Licence: NE 28132) | |
| 207P00000X Emergency Medicine (Licence: CA A105796) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1654) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-08-09 |