| NPI | 1164488748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01059321A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01059321A) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IN 01059321) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-01-28 |