AMA Member: | No |
Gender: | Male |
National Provider Identifier (NPI): | 1164622411 |
License Number: | 4301045899 |
License State: | MI |
Medical School: | J N M C Med Coll, Karnataka Univ, Belgaum, Karnataka, India |
Residency Training: | Mercy Hosp, Family Medicine |
Graduation Year: | 1971 |