| NPI | 1508481540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01089568A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01089568A) |
| 207Q00000X Family Medicine (Licence: KY 57533) | |
| 208M00000X Hospitalist (Licence: KY 57533) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-12-19 |