| NPI | 1073603411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN DO2027) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN DO-2027) |
| 208000000X Pediatrics (Licence: TN DO2027) | |
| 208000000X Pediatrics (Licence: AL DO-941) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN DO-2027) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TN DO-2027) | |
| 207R00000X Internal Medicine (Licence: AL DO-941) | |
| 207R00000X Internal Medicine (Licence: TN DO-2027) | |
| 208M00000X Hospitalist (Licence: TN DO-2027) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2018-02-15 |