| NPI | 1760591648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 02001985A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02001985A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-09-06 |