| NPI | 1720083082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01025451A) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 0102451A) |
| 174400000X Specialist (Licence: IN 25451) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-09-27 |