| NPI | 1124124565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01089213A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233562) |
| 208M00000X Hospitalist (Licence: NY 233562) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-07-06 |