| NPI | 1649479478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01068358A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R8018) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-11-15 |