| NPI | 1700147790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23623) |
| 207R00000X Internal Medicine (Licence: AR E-13299) | |
| 208M00000X Hospitalist (Licence: TN 52353) | |
| 208M00000X Hospitalist (Licence: MS 23623) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-01-11 |