| NPI | 1649634601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR E-12659) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: AR E-12659) | |
| 207Q00000X Family Medicine (Licence: AR E-12659) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-08-25 |