| NPI | 1548837255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006843A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11021719A) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-09-26 |