| NPI | 1740202316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01070830A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 35398) |
| 207P00000X Emergency Medicine (Licence: IN 01070830) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 35398) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-02-13 |