| NPI | 1154361855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01039289A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01039289) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 44186) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME120871) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-07-21 |