| NPI | 1295937654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 42129) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01064362A) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-11-24 |