| NPI | 1811339161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 95186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078037A) |
| 207R00000X Internal Medicine (Licence: OH 35.130614) | |
| 207R00000X Internal Medicine (Licence: MD ap22784393106) | |
| 207R00000X Internal Medicine (Licence: CA A164151) | |
| 208M00000X Hospitalist (Licence: OH 35.130614) | |
| 208M00000X Hospitalist (Licence: IN 01078037A) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-11-20 |