| NPI | 1619963105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01032564A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01032564A) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-02-21 |