| NPI | 1740378215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: IN 01068195A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01068195A) |
| 2083A0300X Preventive Medicine Addiction Medicine (Licence: IN 01068195A) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-12-29 |