| NPI | 1174771604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01065538A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01065538A) |
| 208M00000X Hospitalist (Licence: IN 01065538A) | |
| 208M00000X Hospitalist (Licence: GA 83287) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2019-09-30 |