| NPI | 1871975466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080224A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301108244) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301108244) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-12-15 |