| NPI | 1902091192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD160387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01088194A) |
| 208M00000X Hospitalist (Licence: IN 01088194A) | |
| 208M00000X Hospitalist (Licence: OR MD160387) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-01-16 |