| NPI | 1831379445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01036562A) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01036562A) |
| 208D00000X General Practice (Licence: IN 01036562A) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2021-03-26 |