| NPI | 1205455375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: IN 02009019A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02009019A) |
| 207P00000X Emergency Medicine (Licence: IA DO-06954) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2026-07-29 |