| NPI | 1881123107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 72538) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01080790A) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-07-15 |