| NPI | 1821038407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 12853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 24119) |
| 207P00000X Emergency Medicine (Licence: MS 12853) | |
| 208M00000X Hospitalist (Licence: MS 12853) | |
| 208M00000X Hospitalist (Licence: TN 24119) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-01-11 |