| NPI | 1609258011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01079153A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 4301107379) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-04-19 |