| NPI | 1760977425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01084341A) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01084341A) |
| 208D00000X General Practice (Licence: IN 01084341A) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-03-18 |