| NPI | 1477556918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01042198) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01042198) |
| 207Q00000X Family Medicine (Licence: MI 4301042611) | |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2007-07-20 |