| NPI | 1760569149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01028572A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01028572) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-02-08 |