NPI | 1437474988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01072784A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072784A) |
Enumeration Date | 2010-03-28 |
Last Update Date | 2022-08-26 |