| NPI | 1336702604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 4786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 10798) |
| 208M00000X Hospitalist (Licence: TN 4786) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-01-22 |