| NPI | 1003356684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02005485A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS22616) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2025-09-03 |