| NPI | 1649534132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01076402A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 4014-320) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2024-02-29 |