| NPI | 1497384309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME162621) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01088920A) |
| 207R00000X Internal Medicine (Licence: IN 01088920A) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-09-11 |