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 |