| NPI | 1346334562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01035268) |
| 208D00000X General Practice (Licence: IN 01035268A) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-04-19 |