| NPI | 1669511937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01018769) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01018769) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-02-03 |