| NPI | 1457612053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073058A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073058A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-02-15 |