| NPI | 1669813234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072943A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q7009) |
| 208M00000X Hospitalist (Licence: IN 01072943A) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-10-25 |