| NPI | 1649614462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01077273A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 48399) |
| 208M00000X Hospitalist (Licence: KY 48399) | |
| 208M00000X Hospitalist (Licence: IL 036151252) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2026-03-13 |