| NPI | 1689167215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02006689A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073666) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-08-23 |