| NPI | 1376545756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01055469A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01055469A) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-09-13 |