| NPI | 1598361636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01090887A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN1593) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-01-25 |