| NPI | 1699775676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01054685A) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01054685A) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-09-16 |