| NPI | 1053323758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01042231A) |
| 208M00000X Hospitalist (Licence: MS 23437) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-09-28 |