| NPI | 1093777427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01033730A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01033730A) |
| 207R00000X Internal Medicine (Licence: KY 24109) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-07-10 |