| NPI | 1407276538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078920A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 53258) |
| 207R00000X Internal Medicine (Licence: FL ME129299) | |
| 208M00000X Hospitalist (Licence: IN 01078920A) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-11-13 |