| NPI | 1396871422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 48226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.116972) |
| 207R00000X Internal Medicine (Licence: WI 50541-020) | |
| 207R00000X Internal Medicine (Licence: VA 0101250967) | |
| 207R00000X Internal Medicine (Licence: TN 48226) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2013-10-23 |