| NPI | 1861014227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01089949A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 336257) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-10-29 |