| NPI | 1104316611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01089308A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155393) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-02-22 |