| NPI | 1982230918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD496612) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089842A) |
| 208000000X Pediatrics (Licence: IN 01089842A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2026-08-12 |