| NPI | 1710356720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45022) |
| 208M00000X Hospitalist (Licence: IA MD-45022) | |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2022-08-02 |