| NPI | 1720366313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01075372A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059662) |
| 208M00000X Hospitalist (Licence: WA MD61604251) | |
| 207R00000X Internal Medicine (Licence: IN 01075372A) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2025-04-29 |