| NPI | 1134650534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01088588A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.139200) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35.139200) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-09-20 |