| NPI | 1487897401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9748) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 48693) |
| 207Q00000X Family Medicine (Licence: TN 48693) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2016-08-29 |