| NPI | 1639532666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-10754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-10754) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-01-22 |