| NPI | 1326271891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072486A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072486A) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2023-03-03 |