NPI | 1659352995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02001988A) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02001988A) |
Enumeration Date | 2005-11-11 |
Last Update Date | 2017-05-22 |