| NPI | 1295791200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01042627A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069397A) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-12-28 |