| NPI | 1962459099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01061188A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061188A) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-10-13 |