| NPI | 1801868666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 17289) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 17289) |
| 208M00000X Hospitalist (Licence: TN 50030) | |
| 207R00000X Internal Medicine (Licence: TN 50030) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-02-02 |