| NPI | 1144491598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 11013842A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065607A) |
| 208M00000X Hospitalist (Licence: KY 43997) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2023-08-08 |