| NPI | 1285738435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006581A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101013835) |
| Enumeration Date | 2006-09-09 |
| Last Update Date | 2024-02-12 |