| NPI | 1265657951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 45627) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 45627) |
| 208M00000X Hospitalist (Licence: TN 45627) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-03-12 |