| NPI | 1811985229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01048993A) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-21 |