| NPI | 1104856608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01062241A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01062241) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-08-24 |