| NPI | 1720235401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01073676A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073676A) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01073676A) | |
| 208000000X Pediatrics (Licence: OH 35.097527) | |
| 208000000X Pediatrics (Licence: IN 01073676A) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-11-11 |