| NPI | 1922016799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL LL817) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 01051351) |
| 207P00000X Emergency Medicine (Licence: IN 01051351A) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-07-21 |