| NPI | 1609974922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01035596A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01035596) |
| 132700000X Dietary Manager | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-24 |