| NPI | 1275522039 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01042648A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01042648A) | 
| 208000000X Pediatrics (Licence: IN 01042648A) | |
| Enumeration Date | 2005-10-14 | 
| Last Update Date | 2025-02-17 |