| NPI | 1992979785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 53318) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 37682) |
| 208M00000X Hospitalist (Licence: MO 2008021055) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2018-07-27 |