| NPI | 1902334014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01084384A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10061474) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-05-18 |