| NPI | 1437214731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 02001067A) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 02001067A) |
| 207Q00000X Family Medicine (Licence: IN 02001067A) | |
| 202C00000X Independent Medical Examiner (Licence: IN 02001067A) | |
| 208VP0000X (Licence: IN 02001067A) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-12-13 |