| NPI | 1083604714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01025697) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01025697) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-11-15 |