| NPI | 1891992020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 61862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN BB7584635-R235) |
| 207R00000X Internal Medicine (Licence: GA 061862) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-03-07 |