| NPI | 1649327537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN MD0000044520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000044520) |
| 208000000X Pediatrics (Licence: TN MD0000044520) | |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TN MD0000044520) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-30 |