| NPI | 1356724892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01079987A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301108240) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2026-09-15 |