| NPI | 1992967640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01047352) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047352A) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-06-12 |