| NPI | 1487818936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01042005A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01042005A) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |