| NPI | 1396150686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01077535A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065861) |
| 207R00000X Internal Medicine (Licence: FL ME158639) | |
| 208M00000X Hospitalist (Licence: IN 01077535A) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-10-09 |