| NPI | 1992937601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 57218-20) |
| 207Q00000X Family Medicine (Licence: IN 01072960A) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2021-11-12 |