| NPI | 1861694259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01075975A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME114947) |
| 207R00000X Internal Medicine (Licence: WI 55482-20) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-03-31 |