| NPI | 1942730593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 11019426A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005460A) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-03-15 |