| NPI | 1174967467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203971) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0102203971) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2023-02-17 |