| NPI | 1568708428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01082951A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449023) |
| 207R00000X Internal Medicine (Licence: IN 01082951A) | |
| 207R00000X Internal Medicine (Licence: CA C175555) | |
| 207R00000X Internal Medicine (Licence: OR MD207767) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2022-02-21 |