| NPI | 1184775991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 44115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00025569) |
| 208M00000X Hospitalist (Licence: TN 44115) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-02-29 |