| NPI | 1881073708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-00452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036151046) |
| 207R00000X Internal Medicine (Licence: IN 01081202A) | |
| 208M00000X Hospitalist (Licence: IN 01081202A) | |
| 208M00000X Hospitalist (Licence: IL 036151046) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-06-21 |