| NPI | 1639696362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 71718) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 71718) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2025-05-03 |