| NPI | 1720001514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 010489511) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01048951) |
| 208M00000X Hospitalist (Licence: IN 01048951A) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-03-23 |