| NPI | 1154618569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01074419A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277572) |
| 207R00000X Internal Medicine (Licence: TN 52064) | |
| 207R00000X Internal Medicine (Licence: OH 35.125014) | |
| 207R00000X Internal Medicine (Licence: IN 01074419A) | |
| 208M00000X Hospitalist (Licence: TN 52064) | |
| 208M00000X Hospitalist (Licence: FL ME120157) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-02-14 |