| NPI | 1538405998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087908A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098479) | 
| 208M00000X Hospitalist (Licence: IN 01087908A) | |
| Enumeration Date | 2012-12-12 | 
| Last Update Date | 2023-05-31 |