| NPI | 1710234851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072118A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01072118A) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-10-03 |