| NPI | 1215306493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01078194A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 64644-20) |
| 207Q00000X Family Medicine (Licence: IN 01078194A) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2026-06-03 |