| NPI | 1538658729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036155249) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01086051A) |
| 207R00000X Internal Medicine (Licence: IN 01086051A) | |
| 207R00000X Internal Medicine (Licence: CA 177230) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-12-29 |