NPI | 1265881569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PS0010X Emergency Medicine Sports Medicine (Licence: IN 01084379A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-44687) |
207P00000X Emergency Medicine (Licence: IN 01084379A) | |
207PS0010X Emergency Medicine Sports Medicine (Licence: IA 44687) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-01-04 |