| NPI | 1740414168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01069585A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01069585) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2021-03-06 |