| NPI | 1811969157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 27297) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 27297) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-07-21 |