| NPI | 1144252552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01037683) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01037683A) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-10-07 |