| NPI | 1134414196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255095) |
| 208M00000X Hospitalist (Licence: VA 0101255095) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-07-22 |