| NPI | 1245225325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 6864849-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01059408A) |
| 207Q00000X Family Medicine (Licence: IN 01059408A) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-10-18 |