| NPI | 1467251496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016732A) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 163WE0003X Registered Nurse, Emergency (Licence: IN E3105472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN E3105472) | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-07-18 |