| NPI | 1861751729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036154042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036154042) |
| 207R00000X Internal Medicine (Licence: IN 01080284A) | |
| 207R00000X Internal Medicine (Licence: SD 10390) | |
| 208M00000X Hospitalist (Licence: IN 01080284A) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2021-10-29 |