| NPI | 1538109038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101221326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52231) |
| 208M00000X Hospitalist (Licence: VA 0101221326) | |
| 208M00000X Hospitalist (Licence: TN 52231) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-09-28 |