| NPI | 1891126330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 27130) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 59450) |
| 207R00000X Internal Medicine (Licence: NY 275562) | |
| 207R00000X Internal Medicine (Licence: TN 59450) | |
| 208M00000X Hospitalist (Licence: TN 59450) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-02-12 |