| NPI | 1255338547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD025903) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101274055) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101274055) | |
| 208M00000X Hospitalist (Licence: TN 25903) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2025-09-03 |