| NPI | 1578540241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01076970A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 35047) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-03-25 |