| NPI | 1710208178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 58687) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01070773A) |
| 208M00000X Hospitalist (Licence: IN 01070773A) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-12-12 |