| NPI | 1932205945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01033834A) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 01033834A) |
| 207P00000X Emergency Medicine (Licence: IN 01033834A) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-03-07 |