| NPI | 1588749204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01070145A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29040) |
| 207R00000X Internal Medicine (Licence: KY 43552) | |
| 208000000X Pediatrics (Licence: SC 29040) | |
| 208000000X Pediatrics (Licence: KY 43552) | |
| 208M00000X Hospitalist (Licence: SC 43552) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-09-19 |