| NPI | 1427183169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01048965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01048965) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-10-19 |