| NPI | 1962406793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 11080) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 11080) |
| 208M00000X Hospitalist (Licence: TN 11080) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2024-03-25 |