| NPI | 1386286474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01089799A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76999-20) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-01-10 |