| NPI | 1962907196 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006423A) | 
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IN 02006423A) | 
| Enumeration Date | 2018-03-29 | 
| Last Update Date | 2025-06-30 |