| NPI | 1912214560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01072420A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072420A) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2025-05-05 |