| NPI | 1972950335 | 
|---|---|
| Former Name | SANTOSH KAGATHUR SHIVANNA | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME169326) | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME169326) | 
| 208M00000X Hospitalist (Licence: FL ME143730) | |
| Enumeration Date | 2016-05-16 | 
| Last Update Date | 2025-02-19 |