| NPI | 1366730467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD56114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD56114) |
| 207R00000X Internal Medicine (Licence: IN 01095975A) | |
| 207R00000X Internal Medicine (Licence: NC 03426) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2026-03-02 |