| NPI | 1851927727 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01093091A) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.076168) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-22 | 
| Last Update Date | 2025-03-25 |