| NPI | 1760844823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59839) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 59839) |
| 207R00000X Internal Medicine (Licence: MS 29330) | |
| 207R00000X Internal Medicine (Licence: AR E-14029) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-01-11 |