| NPI | 1003476268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS20785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.031169) |
| 207R00000X Internal Medicine (Licence: IN 02006770A) | |
| 208M00000X Hospitalist (Licence: IN 02006770A) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-03-13 |