| NPI | 1902219611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 2489-320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01086875A) |
| 207R00000X Internal Medicine (Licence: IN 01086875A) | |
| 207R00000X Internal Medicine (Licence: MO 2017021754) | |
| 207R00000X Internal Medicine (Licence: IL 036.143268) | |
| 208M00000X Hospitalist (Licence: IL 036.143268) | |
| 207R00000X Internal Medicine (Licence: OH 35.152109) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2025-06-02 |