| NPI | 1972167732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 5055) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 5055) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2023-07-11 |