| NPI | 1780176925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01085698A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01085608A) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-09-14 |