| NPI | 1407052376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01072922A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006034008) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01072922A) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2026-03-06 |