| NPI | 1629028782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005853A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 1153) |
| 207P00000X Emergency Medicine (Licence: AL 1223) | |
| 207Q00000X Family Medicine (Licence: TN DO1153) | |
| 207R00000X Internal Medicine (Licence: TN DO1153) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-06-12 |