| NPI | 1053422642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 36867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36867) |
| 208M00000X Hospitalist (Licence: IN 01054037A) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-04-17 |