| NPI | 1407830318 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01048372A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01048372A) | 
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01048372A) | |
| Enumeration Date | 2005-12-05 | 
| Last Update Date | 2023-10-11 |