| NPI | 1801235866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 075092) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01078574A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2023-02-21 |