| NPI | 1447219688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101234588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 24122) |
| 208M00000X Hospitalist (Licence: TN 24122) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-10-16 |