| NPI | 1689089674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 82397) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01077419A) |
| 207Q00000X Family Medicine (Licence: IN 01077419A) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-02-15 |