| NPI | 1588007488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 60354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24595) |
| 207P00000X Emergency Medicine (Licence: AR E-9307) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-01-30 |