| NPI | 1770716680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01081471A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 60272125) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2022-11-14 |