| NPI | 1093792103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01043058A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01043058A) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2025-09-15 |