Address: Kochin Palace P.O., Tripunithura, , Ernakulam(dt), Kerala -682301
Date of Birth: XX-XX-XXXX
Qualification: 1) B.A.M.S., Amrita Vishwa Vidyapeedam University, 2011
Date of registration: 14/12/2011
Registration No.: 12504
Registered under: TCMC
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