| 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 |