| NPI | 1568872828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01080671A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080671A) |
| 207R00000X Internal Medicine (Licence: KY 49727) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-10-11 |