| NPI | 1982623575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036107590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01068288A) |
| 208M00000X Hospitalist (Licence: IN 01068288A) | |
| 208M00000X Hospitalist (Licence: IL 036107590) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-09-07 |