NPI | 1952662314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01073776A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01073776A) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2019-02-13 |