NPI | 1639662018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005739A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11019972A) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2022-10-11 |