| NPI | 1689884439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52124) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5766) |
| 208M00000X Hospitalist (Licence: TN 52124) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-04-16 |