| NPI | 1033470851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 02004816A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016662A) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-05-08 |