| NPI | 1215347349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 24977) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 56029) |
| 208M00000X Hospitalist (Licence: MS 24977) | |
| 207R00000X Internal Medicine (Licence: TN 56029) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-05-23 |