| NPI | 1417157876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 7604467-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 7604467-1205) |
| 208M00000X Hospitalist (Licence: IN 01068939A) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-07-21 |