| NPI | 1295034064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078921A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017030891) |
| 208M00000X Hospitalist (Licence: MO 2017030891) | |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2021-12-06 |