| NPI | 1659506277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070602) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 070602) |
| 208M00000X Hospitalist (Licence: TN D02265) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2017-02-17 |