| NPI | 1881824407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 54956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 1105182A) |
| 207Q00000X Family Medicine (Licence: MN 54956) | |
| 207P00000X Emergency Medicine (Licence: IN 01092884A) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2026-07-15 |