| NPI | 1831894872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS T-5045) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 80614) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-07-14 |