| NPI | 1285788208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01055112A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01055112A) |
| 207P00000X Emergency Medicine (Licence: IL 036088844) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-11-01 |