| NPI | 1629607510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089029A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01089029A) |
| 207R00000X Internal Medicine (Licence: FL ME168885) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-07-08 |