| NPI | 1972749174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 44470) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 44470) |
| 208M00000X Hospitalist (Licence: TN 44470) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2018-12-28 |