| NPI | 1497089205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01065119a) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-11631) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2020-05-05 |