| NPI | 1326211012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59956) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY C2179) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: IN 01068884A) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2024-04-08 |