| NPI | 1164832317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 60034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34596) |
| 207R00000X Internal Medicine (Licence: TN 60034) | |
| 208M00000X Hospitalist (Licence: AL 34596) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-03-28 |