| NPI | 1386679462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 1677) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 02972) |
| 208M00000X Hospitalist (Licence: TN 1677) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-06-06 |