| NPI | 1639850514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01099138A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 61696) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2026-05-07 |