| NPI | 1417344144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 57726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 209628) |
| 208M00000X Hospitalist (Licence: TN 57726) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-01-30 |