| NPI | 1639526007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01081561A) |
| 207R00000X Internal Medicine (Licence: IA MD-52609) | |
| 208M00000X Hospitalist (Licence: ND PT19276) | |
| 208M00000X Hospitalist (Licence: IL 036147119) | |
| 208M00000X Hospitalist (Licence: IN 01081561A) | |
| 208M00000X Hospitalist (Licence: IA MD-52609) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-08-06 |