| NPI | 1891085023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01075998A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60475578) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2015-11-10 |