| NPI | 1780665448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01022780A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01022780) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2013-02-15 |