| NPI | 1174151807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089254A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01089254A) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-05-01 |