| NPI | 1578566048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01041636A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01041636A) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-10-17 |