| NPI | 1861655987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD48816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8689) |
| 207R00000X Internal Medicine (Licence: TN 48816) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-03-25 |