| NPI | 1881866572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003712A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013878A) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-11-18 |