| NPI | 1275913378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078716A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018267A) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-01-30 |