NPI | 1689102998 |
---|---|
Former Name | CHIRACKAL ROBIN SUNNY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 8218) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10061266) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2018-10-24 |