| NPI | 1326082199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 56673) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01060909A) |
| 207R00000X Internal Medicine (Licence: GA 056673) | |
| 207R00000X Internal Medicine (Licence: VT 042-0014451) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-05-26 |