| NPI | 1497781298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 027084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27084) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-09-04 |