| NPI | 1982682944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01045417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 40685) |
| 207P00000X Emergency Medicine (Licence: IN 01045417A) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2016-08-29 |