| NPI | 1477812956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 85101-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076965A) |
| 207R00000X Internal Medicine (Licence: LA MD.207561) | |
| 208M00000X Hospitalist (Licence: IN 01076965A) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2025-03-31 |