| NPI | 1740622513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 81130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063575) |
| 207R00000X Internal Medicine (Licence: IN 01082521A) | |
| 208M00000X Hospitalist (Licence: IN 01082521A) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2025-06-24 |