| NPI | 1548524861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52959) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-9929) |
| 207R00000X Internal Medicine (Licence: AR E-9929) | |
| 207R00000X Internal Medicine (Licence: MI 4301101013) | |
| 208M00000X Hospitalist (Licence: TN 52959) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-02-12 |