| NPI | 1073517744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01028609A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01028609A) |
| 174400000X Specialist (Licence: IN 01028609a) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-03-19 |