| NPI | 1972950335 |
|---|---|
| Former Name | SANTOSH KAGATHUR SHIVANNA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME169326) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME143730) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-08-08 |