| NPI | 1952961955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006961A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014010) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151014010) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-01-19 |