| NPI | 1982869590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067467A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014533A) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2023-11-27 |