| NPI | 1619107794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88169) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 88169) |
| 208M00000X Hospitalist (Licence: TN 48888) | |
| 207P00000X Emergency Medicine (Licence: TN 48888) | |
| 207Q00000X Family Medicine (Licence: TN 48888) | |
| 207Q00000X Family Medicine (Licence: VA 0101251018) | |
| 207R00000X Internal Medicine (Licence: TN MD48888) | |
| 208M00000X Hospitalist (Licence: VA 0101251018) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2022-01-03 |