| NPI | 1144616996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 57872) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN 57872) |
| 208M00000X Hospitalist (Licence: GA 80572) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-06-30 |