| NPI | 1316906944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01042633A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 29690) |
| 207R00000X Internal Medicine (Licence: IN 01042633A) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-11-09 |