| NPI | 1083672919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50003955A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 20014061) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-04-11 |