| NPI | 1821384488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073839A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016056A) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-04-05 |