| NPI | 1750504734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01064005A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11012613) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-03-05 |