| NPI | 1417481540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082368A) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01082368A) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-08-19 |