| NPI | 1730166083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D93115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 36848) |
| 208M00000X Hospitalist (Licence: TN 36848) | |
| 208M00000X Hospitalist (Licence: MD D93115) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-02-11 |