| NPI | 1184042061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101262114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D84198) |
| 208M00000X Hospitalist (Licence: VA 0101262114) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2021-03-03 |