| NPI | 1346347358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 1842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201781) |
| 208M00000X Hospitalist (Licence: TN 1842) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-05-15 |