| NPI | 1235209156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01029070A) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01029070A) |
| 208D00000X General Practice (Licence: IN 01029070A) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-03-01 |