| NPI | 1952644825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.37310) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01074474A) |
| 208M00000X Hospitalist (Licence: AL MD.37310) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-04-09 |