| NPI | 1649226002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02001896A) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 02001896) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-05-16 |