| NPI | 1184252322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-54275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-54275) |
| 207R00000X Internal Medicine (Licence: TN 67823) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-04-14 |