NPI | 1407025497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067732A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 46124) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2024-08-21 |