| NPI | 1134111552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01047261A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME95053) |
| 207R00000X Internal Medicine (Licence: IN 01047261A) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2024-01-12 |