| NPI | 1902801798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02002567) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02002567A) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-01-20 |