Address: Road, Kadavanthara P.O., Kochi, , Ernakulam(dt), Kerala -
Date of Birth: XX-XX-XXXX
Qualification: 1) B.A.M.S., Rajiv Gandhi University of Health Science, Karnata, 2009
Date of registration: 24/4/2009
Registration No.: 10022
Registered under: TCMC
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