| NPI | 1952721086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 56192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 56192) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2017-11-01 |