| NPI | 1437160256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 89433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047161A) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-06-29 |