| NPI | 1467401794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01060068A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 18993) |
| 207Q00000X Family Medicine (Licence: FL ME113491) | |
| 208M00000X Hospitalist (Licence: LA MD.205109) | |
| 208M00000X Hospitalist (Licence: IN 01060068A) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-06-29 |