| NPI | 1164692216 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01065233A)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01065233A)  | 
| Enumeration Date | 2008-03-05 | 
| Last Update Date | 2021-01-25 |