| NPI | 1033143524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 42239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240019) |
| 208M00000X Hospitalist (Licence: TN 42239) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-08-30 |