NPI | 1740275221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD37163) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 37163) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2022-06-17 |