| NPI | 1689930190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080705A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101258251) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-02-11 |