| NPI | 1346222429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01061131A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51999) |
| 207P00000X Emergency Medicine (Licence: IN 01061131A) | |
| 208M00000X Hospitalist (Licence: KY 51999) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-03-17 |