| NPI | 1598407504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02009166A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 6949) |
| 207P00000X Emergency Medicine (Licence: TX W7165) | |
| 207P00000X Emergency Medicine (Licence: MS 37262) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-07-02 |