| NPI | 1568441020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01081089A) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01081089A) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: MT MED-PHY-LIC-28236) | |
| 207R00000X Internal Medicine (Licence: IN 01081089A) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-06-21 |