| NPI | 1962519793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 01035414A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01035414A) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-03-10 |