| NPI | 1508819772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01034463A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01034463A) |
| 207R00000X Internal Medicine (Licence: IN 01034463A) | |
| 208000000X Pediatrics (Licence: IN 01034463A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-01-06 |