| NPI | 1225479090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 77486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD228978) |
| 208M00000X Hospitalist (Licence: TN 77486) | |
| 208M00000X Hospitalist (Licence: OK 35442) | |
| 208M00000X Hospitalist (Licence: AR E-9983) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2026-07-29 |