| NPI | 1609507789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01091255A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01091255A) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-07-17 |