| NPI | 1396155719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 57438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25827) |
| 207R00000X Internal Medicine (Licence: AR E-11878) | |
| 208M00000X Hospitalist (Licence: MS 25827) | |
| 208M00000X Hospitalist (Licence: TN 57438) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2025-10-09 |