| NPI | 1912099664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066598A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01066598A) |
| 208M00000X Hospitalist (Licence: IL 036-151982) | |
| 208M00000X Hospitalist (Licence: WI 49693-20) | |
| 207R00000X Internal Medicine (Licence: IL 036151982) | |
| 207R00000X Internal Medicine (Licence: OH 35.091335) | |
| 207R00000X Internal Medicine (Licence: WI 49693-020) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-01-09 |