NPI | 1548223084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 35127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 26545) |
208M00000X Hospitalist (Licence: TN 35127) | |
Enumeration Date | 2006-04-07 |
Last Update Date | 2022-05-23 |