| NPI | 1619258019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 57324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2199) |
| 207R00000X Internal Medicine (Licence: TN DOST 27) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2018-02-06 |