| NPI | 1477967149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078217A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT207428) |
| 207P00000X Emergency Medicine (Licence: IN 01078217A) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2026-07-07 |