| NPI | 1518134816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003562A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014261A) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-05-22 |