| NPI | 1770667396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01053725A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01053725) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-11-04 |