| NPI | 1467708834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01073065A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0037573) |
| 207R00000X Internal Medicine (Licence: IN 01073065A) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2017-04-05 |