NPI | 1134568991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004845A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017330A) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2024-10-17 |