| NPI | 1811422215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01084167B) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084167A) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2025-09-04 |