| NPI | 1659067262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01095703A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 79820) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 79820) | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2026-05-29 |