| NPI | 1912173766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 31551) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-37960) |
| 207R00000X Internal Medicine (Licence: TN 66835) | |
| 207R00000X Internal Medicine (Licence: IL 036126011) | |
| 207R00000X Internal Medicine (Licence: IL 125053126) | |
| 207R00000X Internal Medicine (Licence: IA 39624) | |
| 207R00000X Internal Medicine (Licence: MS 31551) | |
| 208M00000X Hospitalist (Licence: TN 66835) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-05-01 |