NPI | 1063649002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072697A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND LT 12533) |
208M00000X Hospitalist (Licence: WI LT 17855-875) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2023-09-28 |