NPI | 1578528436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01056196a) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L1219) |
207Q00000X Family Medicine (Licence: IN 01056196A) | |
207Q00000X Family Medicine (Licence: WI 39496) | |
207P00000X Emergency Medicine (Licence: TX L1219) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2024-01-11 |