| NPI | 1770928608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02004789A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020218) |
| 208M00000X Hospitalist (Licence: IN 02004789A) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-05-16 |