| NPI | 1023050515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101240068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 023968) |
| 208M00000X Hospitalist (Licence: VA 0101240068) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-01-12 |