NPI | 1679576789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035445A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01035445A) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2023-12-07 |