| NPI | 1548721244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01084450A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074068) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-08-09 |