| NPI | 1366733750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 049754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD49998) |
| 207R00000X Internal Medicine (Licence: CT 49754) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN MD49998) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-06-07 |