| NPI | 1699967125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01072613A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-053572) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2013-12-05 |