| NPI | 1174698278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01043073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60189071) |
| 207R00000X Internal Medicine (Licence: IN 01043073) | |
| 208M00000X Hospitalist (Licence: WA MD60189071) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-07-16 |