| NPI | 1598924565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01072606A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072606A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014313A) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-04-25 |