| NPI | 1629428826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-12473) |
| 207R00000X Internal Medicine (Licence: AL MD.41166) | |
| 207R00000X Internal Medicine (Licence: IL 125068410) | |
| 208M00000X Hospitalist (Licence: TN 65803) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-24 |