| NPI | 1184602898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 39047) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 39047) |
| 208M00000X Hospitalist (Licence: IN 01065259A) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-01-10 |