| NPI | 1891085270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 32094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 53028) |
| 208000000X Pediatrics (Licence: TN 53028) | |
| 207R00000X Internal Medicine (Licence: AL 32094) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2023-06-28 |