| NPI | 1366636235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01068622A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01068622A) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2025-03-10 |