| NPI | 1316688013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-18479) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01095754A) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-07-07 |