| NPI | 1699652545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71016996A) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 28222590A) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-09-02 |