| 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 |