| NPI | 1750022109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TN 71075) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 71075) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-06-20 |