| NPI | 1639320450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01066770A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO tl2231) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2010-02-11 |