| NPI | 1346405909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01074935A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63555-20) |
| 207R00000X Internal Medicine (Licence: OH 35.129991) | |
| 208M00000X Hospitalist (Licence: IN 01074935A) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2019-11-01 |