| NPI | 1679814958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02006036A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0477) |
| 207R00000X Internal Medicine (Licence: IN 02006036A) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2023-09-12 |