| NPI | 1063851236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 54646) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 54646) |
| 208M00000X Hospitalist (Licence: GA 90695) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-01-05 |