| NPI | 1699188672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01075582A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075582A) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2015-08-19 |