| NPI | 1336430628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101268470) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01076544A) |
| 208000000X Pediatrics (Licence: IN 01076544) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-06-22 |