NPI | 1669582698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 0360189709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-43233) |
207R00000X Internal Medicine (Licence: IN 01060690A) | |
208M00000X Hospitalist (Licence: IN 01060690A) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-12-13 |