| 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 |