| NPI | 1376820639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.123498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD24741) |
| 207R00000X Internal Medicine (Licence: OH 57019181) | |
| 207R00000X Internal Medicine (Licence: IN 01086935A) | |
| 208M00000X Hospitalist (Licence: IN 01086935A) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2022-12-15 |