| NPI | 1841284171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01058806A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01058806) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2011-03-02 |