| NPI | 1356572473 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01072665A) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125057224) | 
| 208M00000X Hospitalist (Licence: IN 01072665A) | |
| Enumeration Date | 2009-08-06 | 
| Last Update Date | 2025-07-22 |