| NPI | 1396007324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.330473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01073546A) |
| 208M00000X Hospitalist (Licence: LA 330473) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-03-14 |