NPI | 1528572542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01091718A) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01091718A) |
208D00000X General Practice (Licence: PR 21038) | |
Enumeration Date | 2017-11-29 |
Last Update Date | 2025-05-09 |