| NPI | 1467907840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01086894A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 34643) |
| 208M00000X Hospitalist (Licence: IN 01086894A) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2026-03-30 |