| NPI | 1992090864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 93447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 93447) |
| 207R00000X Internal Medicine (Licence: IN 01073431A) | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2023-09-20 |