| NPI | 1366698177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01072112A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301092355) |
| 207Q00000X Family Medicine (Licence: IN 01072112A) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-03-10 |