| NPI | 1427379270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 51125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32686) |
| 207R00000X Internal Medicine (Licence: TN MD0000051125) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2017-04-10 |