| NPI | 1437838430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS PA00728) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS PA00728) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |