| NPI | 1306924394 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01041605A) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01041605) | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2021-05-14 |