| NPI | 1225033368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101231545) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2012-02027) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-05-15 |