| NPI | 1548277288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035771A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01035771) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-09-18 |