| NPI | 1801329131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 56593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 56593) |
| 207R00000X Internal Medicine (Licence: MS 26826) | |
| 207R00000X Internal Medicine (Licence: IN 01089646A) | |
| 208M00000X Hospitalist (Licence: IN 01089646A) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-12-19 |