| NPI | 1669738522 |
|---|---|
| Former Name | JOBY JAMES THEKKUMKEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29122) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2017-05-09 |