| NPI | 1225424203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02007488A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO2436) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-10-12 |