| NPI | 1972741338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01064273A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01064273A) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2020-12-17 |