| NPI | 1134190259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN IN02002970A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN IN 02002970A) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-03-03 |