| NPI | 1376546150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD34018) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 34018) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-05-01 |