| NPI | 1831548510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005141A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018825A) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-12-21 |