| NPI | 1295924926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01070603A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01070603A) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2026-08-11 |