NPI | 1821476334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 59177) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 28175) |
207Q00000X Family Medicine (Licence: AR E-13966) | |
208M00000X Hospitalist (Licence: TN 59177) | |
Enumeration Date | 2015-05-16 |
Last Update Date | 2024-01-11 |