| NPI | 1588245500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036171127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02008332A) |
| 208M00000X Hospitalist (Licence: IN 02008332A) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-04-22 |