| NPI | 1447220900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01042790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01042790) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-01-17 |