| NPI | 1154648541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC MD35478) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11015438A) |
| 207P00000X Emergency Medicine (Licence: IN 01071143A) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2020-12-16 |