| NPI | 1548457229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 66744) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 66744) |
| 208M00000X Hospitalist (Licence: KY 43622) | |
| 208M00000X Hospitalist (Licence: TN 47115) | |
| 207R00000X Internal Medicine (Licence: KY 43622) | |
| 207R00000X Internal Medicine (Licence: TN 47115) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-04-17 |