| NPI | 1295997450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01071061A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11015132A) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-10-14 |