| NPI | 1881984912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 081113) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 51657) |
| 207R00000X Internal Medicine (Licence: TN 51657) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-12-08 |