| NPI | 1699158915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 57670) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 57670) |
| 207R00000X Internal Medicine (Licence: MI 4301108430) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2018-08-14 |