| NPI | 1710966247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 48363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 48363) |
| 207P00000X Emergency Medicine (Licence: IN 01085264A) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 200201248) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2023-03-22 |