NPI | 1265652317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: TN 2076) |
Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: VA 0102201853) |
207R00000X Internal Medicine (Licence: TN 2076) | |
Enumeration Date | 2007-04-30 |
Last Update Date | 2017-02-07 |