| NPI | 1033568316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01080752A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018871A) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-09-30 |