| NPI | 1639149628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01039726A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01039726A) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-09-07 |