| NPI | 1861996415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02006888A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006888A) |
| 208M00000X Hospitalist (Licence: IL 036.157126) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-03-03 |