| NPI | 1194090498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257680) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2023-1213) |
| 208M00000X Hospitalist (Licence: VA 0101257680) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-10-23 |