NPI | 1699942987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 374582-1204) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014185A) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2017-07-07 |