| NPI | 1598938060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 45408) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 45408) |
| 207R00000X Internal Medicine (Licence: TN 45408) | |
| 208M00000X Hospitalist (Licence: TN 45408) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2022-04-01 |