| NPI | 1538781935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 38336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 0) |
| 208M00000X Hospitalist (Licence: IN 01091263A) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2023-10-04 |