| NPI | 1811512080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01090385A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01090385A) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-10-11 |