| NPI | 1013993906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 43232) |
| 208M00000X Hospitalist (Licence: VA 0101253361) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-07-01 |