| NPI | 1215396148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5315245272) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01081998A) |
| 207R00000X Internal Medicine (Licence: CA 157236) | |
| 208M00000X Hospitalist (Licence: CA A157236) | |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2023-12-21 |