| NPI | 1407830318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01048372A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01048372A) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: IN 01048372A) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-10-11 |