| NPI | 1578798757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02003913A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101018131) |
| 207P00000X Emergency Medicine (Licence: MI 5101018131) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2026-06-25 |