| NPI | 1942582721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 56541) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021243A) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2018-09-05 |