| NPI | 1801836069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01039780A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 44907) |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01039780A) | |
| 207R00000X Internal Medicine (Licence: IN 01039780A) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-11-16 |