| NPI | 1366518938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD25743) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 24113) |
| 207R00000X Internal Medicine (Licence: MS 24113) | |
| 208M00000X Hospitalist (Licence: TN 25743) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-05-06 |