| NPI | 1780606046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01028174A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01028174A) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01028174A) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-11-27 |