| NPI | 1003122151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01083261A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083261A) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-01-03 |