| NPI | 1558700831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074720A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11017074A) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-11-02 |