| NPI | 1588791727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 076400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN md14884) |
| 207R00000X Internal Medicine (Licence: GA 076400) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-07-21 |