| NPI | 1093946923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 35371) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 35371) |
| 207Q00000X Family Medicine (Licence: TN 53987) | |
| 208M00000X Hospitalist (Licence: TN 53987) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-10-16 |