| NPI | 1598168627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102204848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 51340) |
| 208M00000X Hospitalist (Licence: TN 51340) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-08-28 |