| NPI | 1730530411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01081845A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110147) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-02-02 |