| NPI | 1003845488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01053906A) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01053906A) |
| 207Q00000X Family Medicine (Licence: KY 36086) | |
| 207Q00000X Family Medicine (Licence: GA 058507) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-08-01 |