| NPI | 1093905226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD0000046711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090100) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2010-12-21 |