| NPI | 1558529198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072011A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072011A) |
| 207Q00000X Family Medicine (Licence: KY 43608) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-06-05 |