| NPI | 1437536869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01080746A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 390200000) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-01-18 |