| NPI | 1699718650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101054591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD000027982) |
| 207Q00000X Family Medicine (Licence: TN MD000027982) | |
| 208M00000X Hospitalist (Licence: TN MD000027982) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-04-12 |