| NPI | 1487097002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 25053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 55513) |
| 207R00000X Internal Medicine (Licence: MS 25053) | |
| 208M00000X Hospitalist (Licence: TN MD55513) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-05-30 |