| NPI | 1710338876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 56765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 59013) |
| 208M00000X Hospitalist (Licence: TN 59013) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-09-16 |