| NPI | 1952385866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01044945A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01044945) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-01-09 |