| NPI | 1154950129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01097791A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01097791A) |
| 207R00000X Internal Medicine (Licence: PA MD481057) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-03-30 |