| NPI | 1437116977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82624-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD43799) |
| 207R00000X Internal Medicine (Licence: CA A82686) | |
| 208M00000X Hospitalist (Licence: TN MD43799) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-09-13 |