| NPI | 1104114552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125060650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01074349A) |
| 208M00000X Hospitalist (Licence: IN 01074349A) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-02-16 |