| NPI | 1174010110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 29120) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-3632) |
| 207X00000X Orthopaedic Surgery (Licence: MS 29120) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-12-06 |