| NPI | 1518529114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 30369) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 30369) |
| 208M00000X Hospitalist (Licence: TN 65692) | |
| 207R00000X Internal Medicine (Licence: TN 65692) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-04-24 |