| NPI | 1235559451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01078882A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 37067) |
| 207Q00000X Family Medicine (Licence: CO DR.0062046) | |
| 207Q00000X Family Medicine (Licence: IN 01078882A) | |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2025-07-22 |