| NPI | 1114151669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072153A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072153A) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 01072153A) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-05-09 |