| NPI | 1275150625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS T-3968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102208240) |
| 208M00000X Hospitalist (Licence: VA 0102208240) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-11-03 |