NPI | 1730302761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01066494A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066494A) |
207Q00000X Family Medicine (Licence: IN 11013218) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-01-11 |