| NPI | 1699838805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0089965) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01056476A) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-01-16 |