| NPI | 1174543961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01074693A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH LT-3282) |
| 2086S0127X Surgery, Trauma Surgery (Licence: LA 15507R) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-01-04 |