| NPI | 1992730105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-00109) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD27792) |
| 208M00000X Hospitalist (Licence: NC 2017-00109) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-03-17 |