| NPI | 1922394840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 51013) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 51013) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-03-19 |