| NPI | 1457362162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088040) |
| 207R00000X Internal Medicine (Licence: WV 23511) | |
| 207R00000X Internal Medicine (Licence: TN 48029) | |
| 208M00000X Hospitalist (Licence: TN 48029) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2014-09-12 |