| NPI | 1821002700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000056844) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN MD0000056844) |
| 208M00000X Hospitalist (Licence: TN MD0000056844) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-10-10 |