| NPI | 1487850988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01069397A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069397A) |
| 207R00000X Internal Medicine (Licence: IN 01069397A) | |
| 208000000X Pediatrics (Licence: IN 01069397A) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2025-05-14 |