| NPI | 1053391144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 36844) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01045624A) |
| 207P00000X Emergency Medicine (Licence: IN 01045621) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-05-07 |