NPI | 1386646925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01045286A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01045286A) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2010-10-08 |