NPI | 1144372863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01047367A) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 01047367A) |
207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01047367A) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2024-04-18 |