| NPI | 1194716613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-11346) |
| 208M00000X Hospitalist (Licence: ID M-11346) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-09-28 |