| NPI | 1346322393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044631) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208D00000X General Practice (Licence: IN 01044631) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-09-10 |