| NPI | 1013606011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28200905A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 71015533A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015533A) | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2026-05-21 |