| NPI | 1891764726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01062273) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01062273) |
| 207P00000X Emergency Medicine (Licence: IN 01062273A) | |
| 208D00000X General Practice (Licence: IN 01066273) | |
| 207P00000X Emergency Medicine (Licence: KY 40102) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-11-24 |