| NPI | 1982916763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 49983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45924) |
| 208M00000X Hospitalist (Licence: KY 45924) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-04-21 |