| NPI | 1144718677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 64140) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 0000) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2021-09-09 |