| 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 |