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 |