| NPI | 1063901270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01089990A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021046795) |
| 208M00000X Hospitalist (Licence: NY 330918) | |
| 208M00000X Hospitalist (Licence: IL 036155639) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2025-01-14 |