| NPI | 1912181017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 15909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091258) |
| 207R00000X Internal Medicine (Licence: IN 01065893A) | |
| 208M00000X Hospitalist (Licence: IN 01065893) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2017-05-05 |