| NPI | 1104055144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446259) |
| 208M00000X Hospitalist (Licence: VA 0101263486) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-11-10 |