| NPI | 1144296088 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01041665A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01041665A) |
| 208M00000X Hospitalist (Licence: IN 01041665A) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2025-01-09 |