| NPI | 1104347947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 66714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283392) |
| 208M00000X Hospitalist (Licence: TN 66714) | |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2024-01-17 |