NPI | 1265750921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD50855) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 50855) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2022-03-29 |