| NPI | 1679830780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 073519) |
| 208M00000X Hospitalist (Licence: IN 01074655A) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-01-18 |