| NPI | 1376957928 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078701A)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017576A)  | 
| 208M00000X Hospitalist (Licence: IN 01078701A)  | |
| Enumeration Date | 2014-06-11 | 
| Last Update Date | 2021-02-03 |