| NPI | 1982612669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 55184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062469A) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-03-15 |