| NPI | 1972533123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01059651A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01059651A) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-03-01 |