| NPI | 1144530023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01083280A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136299) |
| 207R00000X Internal Medicine (Licence: OR MD162280) | |
| 208M00000X Hospitalist (Licence: OR MD162280) | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2021-03-25 |