NPI | 1912974528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01054627A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 7999692-1205) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2011-10-26 |