| NPI | 1487184917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 010833363A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 84776) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019197A) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-27 |