| NPI | 1043479348 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01068755A)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01068755A)  | 
| 208M00000X Hospitalist (Licence: IN 01068755)  | |
| Enumeration Date | 2008-06-03 | 
| Last Update Date | 2025-03-07 |