| NPI | 1477607695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 32191) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01044541A) |
| 207R00000X Internal Medicine (Licence: IN 01044541A) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-05-08 |