| NPI | 1811219314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01079546A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053981) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-11-01 |