| NPI | 1114226958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01074624A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 122226) |
| 208M00000X Hospitalist (Licence: IL 036136734) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2021-05-11 |