NPI | 1750819165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082209A) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01082209A) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2024-03-27 |