| NPI | 1144247693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01041064A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2000164180) |
| 207P00000X Emergency Medicine (Licence: IL 036-086677) | |
| 207P00000X Emergency Medicine (Licence: IN 01041064A) | |
| 207P00000X Emergency Medicine (Licence: CA G-43387) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-06-17 |