| NPI | 1114927373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02001626A) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: IN 02001626A) |
| 207Q00000X Family Medicine (Licence: IN 02001626A) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-04-14 |