| NPI | 1891105136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 55794) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 55794) |
| 207R00000X Internal Medicine (Licence: AR E-13861) | |
| 207R00000X Internal Medicine (Licence: MS 27772) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2024-01-11 |