| NPI | 1730317702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036150270) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072949A) |
| 208M00000X Hospitalist (Licence: IN 01072949) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-04-08 |