| NPI | 1679138093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01085458A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 291418) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-08-12 |