| NPI | 1912129776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01065675A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051085) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-03-10 |