| 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 |