| NPI | 1043367931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 41993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY C0185) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-07-19 |