| NPI | 1225321797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01076665A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098477) |
| 207P00000X Emergency Medicine (Licence: IN 01076665A) | |
| 207P00000X Emergency Medicine (Licence: MI 4301098477) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2016-06-30 |