| NPI | 1538504204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME140421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD56086) |
| 207R00000X Internal Medicine (Licence: AZ R73810) | |
| 208M00000X Hospitalist (Licence: TN 56086) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-09-14 |