| NPI | 1144250689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004083A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012260) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-11-27 |