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 |