| NPI | 1467867762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 01088607A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 334595) |
| 207Q00000X Family Medicine (Licence: CA A168407) | |
| 207Q00000X Family Medicine (Licence: IL 036156146) | |
| 208M00000X Hospitalist (Licence: IN 01088607A) | |
| 207Q00000X Family Medicine (Licence: MS 25753) | |
| 207Q00000X Family Medicine (Licence: MI 4301106156) | |
| 207Q00000X Family Medicine (Licence: IN 01088607A) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2026-02-14 |