NPI | 1558742817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 57666) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57666) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2022-03-16 |