| NPI | 1831391176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01065237A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065237A) |
| 208000000X Pediatrics (Licence: IN 01065237A) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-08-09 |