| NPI | 1902213424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01085788A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105685) |
| 207R00000X Internal Medicine (Licence: WI 80075) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-07-06 |