NPI | 1659362200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01020628A) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: IN 01020628A) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2020-09-23 |