| NPI | 1598027104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 65545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01091734A) |
| 208M00000X Hospitalist (Licence: IN 01091734A) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2025-06-24 |