| NPI | 1184075756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC MD210012402) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01082545A) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-12-28 |