| NPI | 1437440187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005434A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC DO1570) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-11-27 |