| NPI | 1598950644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101251218) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 47570) |
| 207R00000X Internal Medicine (Licence: TN 47570) | |
| 208M00000X Hospitalist (Licence: TN 47570) | |
| 208M00000X Hospitalist (Licence: VA 0101251218) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101251218) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2025-12-17 |