| NPI | 1730272857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01039614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 7922) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-10-25 |