| NPI | 1013939354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01033811A) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: IN 01033811) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-12-23 |