| NPI | 1750391918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01039749A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01039749) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-05-19 |