| NPI | 1295022044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48435) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073239A) |
| 207Q00000X Family Medicine (Licence: MN 58433) | |
| 207Q00000X Family Medicine (Licence: IN 01073239A) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: MN 58433) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 01073239A) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: AZ 48435) | |
| 208M00000X Hospitalist (Licence: MN 58433) | |
| 208M00000X Hospitalist (Licence: IN 01073239A) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-01-19 |