| NPI | 1487917514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076074A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01076074B) |
| 207Q00000X Family Medicine (Licence: IN 11016838A) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-06-04 |