| NPI | 1740262716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01040605A) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01040605A) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-09-13 |