| NPI | 1134675218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01084871A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069705) |
| 207R00000X Internal Medicine (Licence: IL 036147616) | |
| 208M00000X Hospitalist (Licence: WI 1018-320) | |
| 208M00000X Hospitalist (Licence: IL 036147616) | |
| 208M00000X Hospitalist (Licence: FL ME151077) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-11-06 |