| NPI | 1548641525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004893A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018479A) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-03-17 |