| NPI | 1972756245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01066511A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 46973) |
| 207R00000X Internal Medicine (Licence: IN 01066511A) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-06-22 |