| NPI | 1316997281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01022859A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301062669) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-03-07 |