| NPI | 1588169379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036154190) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02006504A) |
| 207Q00000X Family Medicine (Licence: IN 02006504A) | |
| 207Q00000X Family Medicine (Licence: IL 036154190) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-07-10 |