| NPI | 1760463566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01042881) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: IN 01042881) |
| 207P00000X Emergency Medicine (Licence: IN 01042881A) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-04-29 |