| NPI | 1679552681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01035690A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 70539) |
| 207P00000X Emergency Medicine (Licence: IL 036.144786) | |
| 207P00000X Emergency Medicine (Licence: KY 29335) | |
| 207Q00000X Family Medicine (Licence: IN 01035690A) | |
| 207Q00000X Family Medicine (Licence: MN 70539) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-02-21 |