| NPI | 1134173768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 41157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 41157) |
| 174400000X Specialist (Licence: TN 41157) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-12-13 |