| NPI | 1144776832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01090921A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 84138-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: IL 036.167319) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2026-04-03 |