| NPI | 1770937369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01084259A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11018668A) |
| 208000000X Pediatrics (Licence: IN 11018668A) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-06-18 |