| NPI | 1841507605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01081516A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A83402) |
| 207QA0401X Family Medicine Addiction Medicine (Licence: IN 01081516A) | |
| 207QA0401X Family Medicine Addiction Medicine (Licence: CA A83402) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2021-03-17 |