| NPI | 1043320583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044045A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01044045A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-04-27 |