| NPI | 1174522148 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01071679A) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: IN 01071679A) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-10-09 |