| NPI | 1457555831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01064187A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01064187a) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-05-28 |