| NPI | 1982150033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168115A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006483A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006483B) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |