| NPI | 1659553162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01088765A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD28388) |
| 208M00000X Hospitalist (Licence: OH 35-090488) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2023-02-01 |