| 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 |