| 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 | 2024-11-15 |