| NPI | 1740448489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 02003428A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003428A) |
| 207R00000X Internal Medicine (Licence: TX U7119) | |
| 207R00000X Internal Medicine (Licence: AL 3445) | |
| 207R00000X Internal Medicine (Licence: OH 34.011017) | |
| 207R00000X Internal Medicine (Licence: PA OS024267) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2025-01-15 |