NPI | 1265411060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01058365A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01058365A) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2014-05-27 |