| NPI | 1295875680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI MD-10932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01049730A) |
| 207P00000X Emergency Medicine (Licence: TX L-0172) | |
| 207P00000X Emergency Medicine (Licence: AR N-8265) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-02-05 |