| NPI | 1891323507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01094068A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1020890) |
| 207P00000X Emergency Medicine (Licence: PA MD489096) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-07-03 |