| NPI | 1063467850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01061822A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061822A) |
| 207P00000X Emergency Medicine (Licence: IN 01061822A) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-09-23 |