| NPI | 1689201733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01088777A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 58954) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-10-29 |