| NPI | 1942619408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01089972A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50489) |
| 207R00000X Internal Medicine (Licence: IN 01089972A) | |
| 208M00000X Hospitalist (Licence: KY 50489) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-10-03 |