| NPI | 1720029911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02003501A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003501A) |
| 207R00000X Internal Medicine (Licence: MO 2007022729) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-05-09 |