| NPI | 1366936601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082724A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11020177A) |
| 208D00000X General Practice (Licence: IN 01082724A) | |
| 208M00000X Hospitalist (Licence: IN 01082724A) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-05-17 |