| NPI | 1760894976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 55937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13476) |
| 207R00000X Internal Medicine (Licence: MS 28215) | |
| 208M00000X Hospitalist (Licence: TN 55937) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-01-11 |