| NPI | 1124280979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01070435A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036129021) |
| 207R00000X Internal Medicine (Licence: WI 60157) | |
| 207R00000X Internal Medicine (Licence: PA MT194020) | |
| 208M00000X Hospitalist (Licence: WI 60157) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-03-17 |