| NPI | 1013958917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD09957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 09957) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-05-12 |