| NPI | 1942524434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 33722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 49759) |
| 208M00000X Hospitalist (Licence: AL 33722) | |
| 208M00000X Hospitalist (Licence: TN 49759) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2018-03-17 |