| NPI | 1205828050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01082773A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 34799) |
| 207R00000X Internal Medicine (Licence: KY 34799) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-03-10 |