| NPI | 1396046694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 52675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52675) |
| 207R00000X Internal Medicine (Licence: RI MD14345) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2015-05-27 |