| NPI | 1023425501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 63360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017022846) |
| 208M00000X Hospitalist (Licence: TN 63360) | |
| 208M00000X Hospitalist (Licence: NC 2019-01661) | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2024-02-12 |