| NPI | 1356605703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01076365A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.060822) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2016-06-22 |