| NPI | 1205199338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01075564A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01075564B) |
| 207Q00000X Family Medicine (Licence: IN 11016839A) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-11-27 |