| NPI | 1184926040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072980A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D88161) |
| 208M00000X Hospitalist (Licence: IL 036.137230) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-03-03 |