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 |