| NPI | 1649489055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01060975A) | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01060975A) | 
| Enumeration Date | 2007-05-22 | 
| Last Update Date | 2025-03-25 |