| NPI | 1871987859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01081673A)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.145320)  | 
| 208M00000X Hospitalist (Licence: IN 01081673A)  | |
| Enumeration Date | 2015-03-26 | 
| Last Update Date | 2022-02-08 |