| NPI | 1598724791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 26765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101034772) |
| 207R00000X Internal Medicine (Licence: TN 26765) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-02-22 |