NPI | 1902434814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01094457A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071311) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2024-12-02 |