| NPI | 1265577001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A115812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066018A) |
| 207R00000X Internal Medicine (Licence: IN 01066018A) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-06-09 |