| NPI | 1144531724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01072078A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 69179) |
| 207P00000X Emergency Medicine (Licence: MO 2014027702) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-07-07 |