| NPI | 1598739617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 34288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01081762A) |
| 208M00000X Hospitalist (Licence: IN 01081762A) | |
| 208M00000X Hospitalist (Licence: KY 34288) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-10-17 |