| NPI | 1093779829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063362A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 114591) |
| 208M00000X Hospitalist (Licence: IN 01063362A) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-08-31 |