| NPI | 1265662308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME TD141027) |
| 207R00000X Internal Medicine (Licence: IN 01074926a) | |
| 208M00000X Hospitalist (Licence: IN 01074926A) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-05-14 |