| NPI | 1952565731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01071748B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102111) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2014-06-03 |