| NPI | 1790366607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093564A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116035027) |
| 208M00000X Hospitalist (Licence: IN 01093564A) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-07-15 |