| NPI | 1396903126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 47738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47738) |
| 207R00000X Internal Medicine (Licence: CA C157359) | |
| 207R00000X Internal Medicine (Licence: VA 0101256503) | |
| 208M00000X Hospitalist (Licence: TN 47738) | |
| 208M00000X Hospitalist (Licence: VA 0101256503) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-10-22 |