| NPI | 1962769828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25363) |
| 208M00000X Hospitalist (Licence: TN 52890) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2024-04-24 |