| NPI | 1407841422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048158a) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01048158A) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-11-12 |