| NPI | 1376700930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 45212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD45212) |
| 207R00000X Internal Medicine (Licence: VA 0101255959) | |
| 208M00000X Hospitalist (Licence: VA 0101255959) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2014-06-16 |