| NPI | 1336589308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01074735A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017427A) |
| 208M00000X Hospitalist (Licence: KY 49301) | |
| 207P00000X Emergency Medicine (Licence: IL 336.118272) | |
| 207R00000X Internal Medicine (Licence: KY 49301) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2026-05-05 |