| NPI | 1770582785 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01023414A)  | 
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IN 01023414A)  | 
| 207Q00000X Family Medicine (Licence: IN 01023414A)  | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01023414A)  | |
| Enumeration Date | 2005-07-20 | 
| Last Update Date | 2014-02-24 |