| NPI | 1508051731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01032900A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME86227) |
| 207Q00000X Family Medicine (Licence: IN 01032900A) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-11-11 |