| NPI | 1508286667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01085450A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301105984) |
| 207Q00000X Family Medicine (Licence: IN 01085450A) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 130589) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01085450A) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-01-12 |