NPI | 1578592234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01061748A) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01061748A) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2019-06-19 |