| NPI | 1376988162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01077039A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: IN 01077039A) | |
| 207R00000X Internal Medicine (Licence: IL 036.146123) | |
| 208M00000X Hospitalist (Licence: IL 036.146123) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-05-22 |